Eastern Star Home And Infirmary - Oriskany Nursing Home
General Information
UPDATEFederal Provider Number
335497
Provider Name
EASTERN STAR HOME AND INFIRMARY
Provider Address
8290 STATE RT 69
ORISKANY, NY 13424
ORISKANY, NY 13424
Provider Phone Number
3157369311
Provider SSA County
510
Provider County Name
Oneida
Ownership Type
For profit - Corporation
Number of Certified Beds
86
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRUSTEES OF THE EASTERN STAR HALL AND HOME OF THE STATE OF NEW YORK
Date First Approved to Provide Medicare and Medicaid services
1979-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.95964
Reported LPN Staffing Hours per Resident per Day
1.45482
Reported RN Staffing Hours per Resident per Day
0.79699
Reported Licensed Staffing Hours per Resident per Day
2.25181
Reported Total Nurse Staffing Hours per Resident per Day
5.21145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09277
Expected CNA Staffing Hours per Resident per Day
2.47571
Expected LPN Staffing Hours per Resident per Day
0.56936
Expected RN Staffing Hours per Resident per Day
0.87887
Expected Total Nurse Staffing Hours per Resident per Day
3.92394
Adjusted CNA Staffing Hours per Resident per Day
2.93333
Adjusted LPN Staffing Hours per Resident per Day
2.12079
Adjusted RN Staffing Hours per Resident per Day
0.67759
Adjusted Total Nurse Staffing Hours per Resident per Day
5.35351
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-06-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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